喀什精液质量判断(喀什市妇科好的医院) (今日更新中)

It’s hard to regard Ellie as a menace.When Greg Manteufel is frustrated or feeling down, she sits by him. At night, she sleeps under his covers. At dinner, she’s there next to him, knowing he’ll throw something her way. She belies the stereotype of the vicious pit bull.“We love her like she’s our daughter,” he said of the dog.And yet, Ellie may be the reason Manteufel nearly died.Gravely ill, he lost parts of his arms and legs, as well as the skin of his nose and part of his upper lip. The cause was capnocytophaga (cap-noh-seye-TOE’-fah-gah), a germ from Ellie’s mouth or from another dog he encountered.Capnocytophaga is commonly found in the saliva of cats and dogs and almost never leads to people getting sick, unless the person has a compromised immune system. But Manteufel was perfectly healthy. In fact, he doesn’t think he’d ever used his health insurance before he fell ill.The case is extremely rare and doctors at his hospital, Froedtert & the Medical College of Wisconsin, had no explanation for why he got so sick. But over the last 10 years there have been at least five other healthy people who have had severe reactions to the germ. A team of researchers connected with Harvard Medical School has developed a theory on why — a gene change in all the victims.And their finding means doctors can’t rule out the capnocytophaga bacteria could strike Manteufel and other victims again.___Greg Manteufel thought he was getting the flu in June of 2018. He had a fever, vomiting and diarrhea. But when he started getting confused, his family took him to the hospital.Doctors did blood cultures and found capnocytophaga, which caused sepsis, a severe blood infection that led to his blood pressure dropping and many of his organs shutting down.“Do what you have to,” he told the doctors.He had so much to live for — foremost, his wife of 16 years, Dawn, and 26-year-old son, Mike. He was just starting to get really good at his day job, painting houses. He cherished his Harley Davidson Electric Glide. He was in the middle of fixing up his ’66 El Camino. And of course there was Ellie, the pup.And so he persisted, through more than 20 surgeries, including amputations of his left and right arms just below the elbow, and legs through the middle of the knee.His wife and son stayed optimistic, because he was.“Greg said he didn’t come this far to lay down and let this beat him,” Dawn Manteufel said.He was out of the in-patient rehab unit in about two weeks, learning to move from his wheelchair to the bed, toilet and car. The usual stay is three to four weeks, said Dr. David Del Toro, medical director for the inpatient rehab unit at Froedtert.Manteufel made similar quick advances using his arm prosthetics and leg prosthetics.“He does not seem like any other patient I’ve met before,” Del Toro said. “He’s just, you know, full speed ahead.”Meanwhile, researchers at Brigham and Women’s Hospital in Boston, connected to Harvard Medical School, as well as Dana-Farber Cancer Institute and Beth Israel Deaconess Medical Center had been investigating cases like his.The team has done genetic testing on five otherwise healthy people who suffered capnocytophaga infections to see if they could find anything in common. They discovered all had a gene connected to the immune system that was working differently — a genetic variant.“It was a really thrilling moment,” said Elizabeth Fieg, a genetic counselor at Brigham and Women’s Hospital. “The stakes are so high with these cases and the patients have gone through so much.”They believe it makes those people more susceptible to developing severe medical problems from capnocytophaga. But they are also trying to determine if there are other risk factors.Of the five in the study, three survived with amputations and two did not. Fieg hopes their research can determine why some did not survive.She also hopes if their theory is confirmed, it will help diagnose cases faster, and perhaps save lives and limbs.That’s why Greg Manteufel jumped at the chance to take part when he was approached in August.Researchers need to gather more evidence, but hope to publish their study in the next year to 18 months.___Manteufel’s life now includes frequent occupational therapy appointments to perfect his use of arm prosthetics — the kind with metal moveable hooks at the end. He’s using a fork regularly and he’s now working on picking up the TV remote, opening doorknobs, cutting vegetables and doing the dishes.He’s using shortened leg prosthetics, called stubbies, to get his body conditioned to eventually use to full-sized ones. Those are expected to arrive any day.Plastic surgeons plan another surgery to perfect his nose. They’ve already moved skin from his forehead there. It looks oversized now, but it will eventually fit in with the rest of his face.He plans to get his car revamped so he can drive with prosthetics. He wants to get a special pole so he can go fishing again. He is even considering going back to work painting.He’s also become less quiet and a lot more outgoing. “Now everybody I see wants to hear something or talk to me. I tell them a 15-minute story about what happened. They probably want me to leave, you know,” he said, chuckling.Ellie’s often by his side.“She loves kids. She loves puppies. Other dogs,” Manteufel said.As harmless as she seems, she may have capnocytophaga germ.The results of Manteufel’s genetic tests are expected in three to four months. Fieg said people with the gene variant are at increased risk for recurrent capnocytophaga or other infections in the future.While Manteufel doesn’t like the sound of that, he said Ellie’s accidentally scratched him since he’s been home and even licked his mouth. He’s been fine.And even if he does have the gene variant, he said, it changes nothing.“We didn’t even bother testing her,” said Manteufel. “We weren’t going to get rid of her if it was her that caused it anyway.”“We just love her to death.” 5972

Justin Bieber says that he has been battling Lyme disease. In an Instagram post on Wednesday, the pop star wrote that it's been a rough couple of years but he's been getting the right treatment. Bieber's post promised that he'll “be back and better than ever.” Lyme disease is transmitted by Ixodes ticks, also known as deer ticks. Lyme can cause flu-like conditions, neurological problems, joint paint and other symptoms, but is curable in most cases. Bieber says he will discuss battling the tick-borne infection on his upcoming YouTube docu-series, “Justin Bieber: Seasons,” which debuts on Jan. 27. 615

Leavenworth Police Chief Pat Kitchens says an active-duty solider at Fort Leavenworth helped stop an active shooter Wednesday on the Centennial Bridge over the Missouri River.In a news conference, Kitchens said the incident started on the Kansas side of the bridge.That's when a 34-year-old soldier from nearby Ft. Leavenworth stepped in and "saved the day" by striking the suspect with his vehicle, according to Kitchens."He saved countless people," Kitchens said.Kitchens said the suspect, described as a Platte County, Missouri man, was armed with at least a handgun and a semi-automatic rifle and was firing seemingly at random at cars on the bridge after getting out of his car.The suspect was injured in the crash with the soldier and was taken to an area hospital with non life-threatening injuries.Another active-duty solider from Fort Leavenworth, was struck by the suspect's fire.That soldier's injuries were also not life-threatening.The soldier that stopped the shooter was not injured.Initially, police responded to the bridge around 11 a.m. on a possible road rage incident.The shooting incident was contained to the bridge and all parties have been detained.The Missouri Department of Transportation said the Centennial Bridge, which connects Leavenworth with Platte City, Missouri, has been closed for the investigation. 1348

It's hiatus time for the crew at "Jeopardy" but beloved host Alex Trebek, who is fighting a battle with cancer, says he intends to be back.In a video filmed on the show's set on the last day of taping for its current season, Trebek says "despite what you may have heard, I'm feeling good, I'm continuing with my therapy and we...[are] already working on our next season, the 36th year of 'Jeopardy.'""I look forward to seeing you once again in September with all kinds of good stuff," he adds.Earlier this month, the longtime game show host 553

Kroger is requesting customers no longer openly carry firearms into its stores, even in states where open carry is legal, the company announced Tuesday evening.The announcement comes just hours after Walmart made a similar announcement. Walmart also said it would end the sales of some firearms and ammunition. Kroger stopped selling guns last year.Kroger, like Walmart, also said it would add its voice to the growing number of corporations calling on elected officials to pass gun reform laws, such as requiring stronger background checks."Kroger has demonstrated with our actions that we recognize the growing chorus of Americans who are no longer comfortable with the status quo and who are advocating for concrete and common sense gun reforms," the company said in a statement.As mass shootings have grown in frequency, death toll and prominence in recent years, many big companies have faced pressure to address their role in the crisis.After a shooter in Parkland, Florida, killed 17 people last year, Dick's Sporting Goods announced it would stop selling assault-style rifles. At the same time, Walmart raised the age for gun purchases from 18 to 21. Kroger followed suit, ending all sales of guns and ammunition in its 45 Fred Meyer stores in the Pacific Northwest last March, citing declining consumer demand for firearms. The grocer had earlier stopped selling guns to people under 21 and pulled sales of magazines featuring "assault rifles."Over the last month, Walmart in particular has faced pressure to stop selling guns after 22 people were shot and killed by a white supremacist inside a Walmart store in El Paso, Texas.In its statement, Kroger said it would be "respectfully asking" that customers no longer openly carry guns in its stores, except for authorized law enforcement officers. It is unclear whether or how the grocer plans to enforce this request.Walmart said it will take a "non confrontational" approach to enforcing the new policy by putting up signs announcing the request outside of stores.Ed Scruggs, president of gun safety advocacy group Texas Gun Sense, said a number of retailers in the state (where open carry is legal) request that customers not openly carry in their stores by posting large signs stating the policy in English and Spanish outside their stores. Store workers can ask customers who do not abide by the signs to return the guns to their cars or leave the store, Scruggs said. 2444

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